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我国卫生健康体系亟需缓和医疗融入

宁晓红,  阎格

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文章导航 > 协和医学杂志  > 2024 >  15(1): 12-17
宁晓红, 阎格. 我国卫生健康体系亟需缓和医疗融入[J]. 协和医学杂志, 2024, 15(1): 12-17. doi: 10.12290/xhyxzz.2023-0599
引用本文: 宁晓红, 阎格. 我国卫生健康体系亟需缓和医疗融入[J]. 协和医学杂志, 2024, 15(1): 12-17. doi: 10.12290/xhyxzz.2023-0599
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NING Xiaohong, YAN Ge. China's Healthcare System Urgently Needs the Integration of Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 12-17. doi: 10.12290/xhyxzz.2023-0599
Citation: NING Xiaohong, YAN Ge. China's Healthcare System Urgently Needs the Integration of Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 12-17. doi: 10.12290/xhyxzz.2023-0599
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我国卫生健康体系亟需缓和医疗融入

doi: 10.12290/xhyxzz.2023-0599
  • 1.

    中国医学科学院北京协和医院老年医学科, 北京 100730

  • 2.

    中国医学科学院北京协和医院缓和医学中心, 北京 100730

  • 3.

    中国医学科学院 北京协和医学院群医学及公共卫生学院, 北京 100006

基金项目: 

北京协和医学院精品教材立项 2022zlgc0503

详细信息
    通讯作者:

    宁晓红，E-mail：ningxh1973@foxmail.com

  • 中图分类号: R48;R-01

China's Healthcare System Urgently Needs the Integration of Palliative Care

  • 1.

    Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Palliative Medicine Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 3.

    School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100006, China

Funds: 

Peking Union Medical College high-quality textbook project 2022zlgc0503

More Information

    摘要
  • 摘要: 随着医疗技术的快速发展, 人类的死亡过程被技术化和医学化, 但因衰老和疾病而引发的痛苦仍广泛存在, 缓和医疗可缓解这一痛苦过程, 提高终末期患者的生活质量。我国已从立法层面将安宁疗护列入国家卫生健康体系, 但缓和医疗相关国家政策仍为空白。因缓和医疗学科建设滞后, 绝大多数医疗工作者仍缺乏对缓和医疗理念的认识和具体实践能力, 导致我国重病、终末期患者的照护品质堪忧。缓和医疗融入卫生健康体系需逐步有序开展, 通过统一定义与原则、发布国家及地方政策、倡导相关实践、开展医学生教育、发展基层缓和医疗网络、制定国家层面的发展标准, 以及强调本土化发展, 帮助人们在疾病终末期避免接受徒劳或失当的治疗。
    Abstract: With the rapid development of medical technology, human dying process has been technicalized and medicalized, but the pain caused by ageing and terminal disease remains widespread. However, Palliative care can alleviate this kind of pain and improve the quality of life for end-stage patients.Over the years, China has introduced a series of policies and laws to include hospice care in the national health system from the legislative level, most healthcare providers, however, are incompetent and unable to understand and deliver palliative care, resulting in the poor quality of death in China. Integration of palliative care into the health system needs to be gradually implemented, by unifying definitions and principles, advocating palliative care practice in clinical work, initiating education in medical students, developing palliative care networks in primary healthcare system, formulating national-level development indicators, and emphasizing localized development, with the hope of avoiding futile or inappropriate treatments at the end of life.
    作者贡献：宁晓红负责论文构思、设计及撰写；阎格负责文献资料收集、整理及论文撰写。
    利益冲突：所有作者均声明不存在利益冲突
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    • 参考文献(28)
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出版历程
  • 收稿日期:  2023-12-08
  • 录用日期:  2024-01-15
  • 网络出版日期:  2024-01-16
  • 刊出日期:  2024-01-30

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